1(480) 840-3457 Request Appointment

Plantar Fasciitis (Heel Pain)

by | | 90 comments

Plantar Fasciitis

Heel pain is most often caused by plantar fasciitis, a condition that is sometimes also called heel spur syndrome when a spur is present. Sometimes, heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst. Because there are several potential causes, it is important to have heel pain properly diagnosed. A foot and ankle surgeon is able to distinguish between all the possibilities and determine the underlying source of your heel pain.

What Is Plantar Fasciitis?

Plantar fasciitis is an inflammation of the band of tissue (the plantar fascia) that extends from the heel to the toes. In this condition, the fascia first becomes irritated and then inflamed, resulting in heel pain.

Causes

The most common cause of plantar fasciitis relates to a faulty structure of the foot. For example, people who have problems with their arches, either overly flat feet or high-arched feet, are more prone to developing plantar fasciitis.
Wearing non-supportive footwear on hard, flat surfaces puts an abnormal strain on the plantar fascia and can also lead to plantar fasciitis. This is particularly evident when one’s job requires long hours on the feet. Obesity may also contribute to plantar fasciitis.

Symptoms

The symptoms of plantar fasciitis are:
  • Pain on the bottom of the heel
  • Pain that is usually worse upon arising
  • Pain that increases over a period of months
People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they’ve been sitting for long periods of time. After a few minutes of walking the pain decreases, because walking stretches the fascia. For some people the pain subsides but returns after spending long periods of time on their feet.

Diagnosis

To arrive at a diagnosis, the foot and ankle surgeon will obtain your medical history and examine your foot. Throughout this process the surgeon rules out all the possible causes for your heel pain other than plantar fasciitis. In addition, diagnostic imaging studies such as x-rays or other imaging modalities may be used to distinguish the different types of heel pain.
Sometimes heel spurs are found in patients with plantar fasciitis, but these are rarely a source of pain. When they are present, the condition may be diagnosed as plantar fasciitis/heel spur syndrome.

Non-Surgical Treatment

Treatment of plantar fasciitis begins with first-line strategies, which you can begin at home:
  • Stretching exercises. Exercises that stretch out the calf muscles help ease pain and assist with recovery.
  • Avoid going barefoot. When you walk without shoes, you put undue strain and stress on your plantar fascia.
  • Ice. Putting an ice pack on your heel for 20 minutes several times a day helps reduce inflammation. Place a thin towel between the ice and your heel; do not apply ice directly to the skin.
  • Limit activities. Cut down on extended physical activities to give your heel a rest.
  • Shoe modifications. Wearing supportive shoes that have good arch support and a slightly raised heel reduces stress on the plantar fascia.
  • Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
If you still have pain after several weeks, see your foot and ankle surgeon, who may add one or more of these treatment approaches:
  • Padding and strapping. Placing pads in the shoe softens the impact of walking. Strapping helps support the foot and reduce strain on the fascia.
  • Orthotic devices. Custom orthotic devices that fit into your shoe help correct the underlying structural abnormalities causing the plantar fasciitis.
  • Injection therapy. In some cases, corticosteroid injections are used to help reduce the inflammation and relieve pain.https://www.youtube.com/watch?v=6_3f_GacOIY&t=51s
  • Removable walking cast. A removable walking cast may be used to keep your foot immobile for a few weeks to allow it to rest and heal.
  • Night splint. Wearing a night splint allows you to maintain an extended stretch of the plantar fascia while sleeping. This may help reduce the morning pain experienced by some patients.
  • Physical therapy. Exercises and other physical therapy measures may be used to help provide relief.

When Is Surgery Needed?

Although most patients with plantar fasciitis respond to non-surgical treatment, a small percentage of patients may require surgery. If, after several months of non-surgical treatment, you continue to have heel pain, surgery will be considered. Your foot and ankle surgeon will discuss the surgical options with you and determine which approach would be most beneficial for you.

Long-term Care

No matter what kind of treatment you undergo for plantar fasciitis, the underlying causes that led to this condition may remain. Therefore, you will need to continue with preventive measures.
Wearing supportive shoes, stretching, and using custom orthotic devices are the mainstay of long-term treatment for plantar fasciitis.

90 Comments

  1. 后端

    What’s up to every one, the contents existing at this website are truly
    awesome for people knowledge, well, keep up the nice work
    fellows.

    Reply
  2. bangalore call girls

    Thanks to my father who shared with me regarding this website, this weblog is actually remarkable.

    Reply
  3. callgin

    Fantastic blog you have here but I was curious if you knew of any user
    discussion forums that cover the same topics discussed here?

    I’d really love to be a part of online community where I can get advice from other knowledgeable people that share the same interest.
    If you have any suggestions, please let me know. Bless you!

    Reply
  4. bangalore call girls

    I got this web page from my friend who shared with me
    regarding this web site and at the moment this time I am visiting this
    website and reading very informative posts here.

    Reply
  5. bangalore call girls

    Thank you for another informative web site. The place else may just I am getting that kind of information written in such a perfect approach?
    I’ve a project that I’m simply now running on, and I’ve been at the glance out
    for such information.

    Reply
  6. call girls pune

    One of my friends suggested reading your blog. I am not a regular blog reader but I got very informative knowledge from your blog.

    Reply
  7. www.sv388.net

    I love what you guys are usually up too.
    This kind of clever work and reporting! Keep up the wonderful works guys I’ve added you guys to my personal blogroll.

    Reply
  8. Udaipur Call girls

    Thank you for Each Wonderful article Which Will be other. The area otherwise might just get that kind of advice in this type of style that is best of authorship?

    Reply
  9. götveren levent

    Hello i am kavin, its my first time to commenting anyplace, when i read this paragraph i thought i could also create comment due to this
    brilliant article.

    Reply
  10. cheap flights

    Appreciate this post. Will try it out.

    Reply
  11. cheap flights

    What’s up, of course this paragraph is really pleasant and
    I have learned lot of things from it concerning blogging.
    thanks.

    Reply
  12. cheap flights

    Every weekend i used to pay a visit this site, as i want enjoyment, for the reason that this
    this web page conations genuinely fastidious funny data too.

    Reply
  13. VerenaWKufel

    Simply desire to say your article is as amazing. The
    clearness in your post is just spectacular and i can assume you’re
    an expert on this subject. Fine with your permission let me to grab your feed to keep up to date with forthcoming post.
    Thanks a million and please continue the rewarding work.

    Stop by my site :: VerenaWKufel

    Reply
  14. tube8

    I’m curious to find out what blog system you are utilizing?

    I’m having some minor security issues with my latest site and I would like to find something more safe.
    Do you have any solutions?

    Reply
  15. RockyHKanoon

    I’m impressed, We have to admit. Rarely should i encounter your
    blog that’s both equally educative and engaging, and let me tell you, you have hit the nail about
    the head. The issue is something too few individuals are speaking intelligently about.
    I’m delighted I found this within my seek out something regarding
    this.

    Feel free to surf to my homepage; RockyHKanoon

    Reply
  16. teacher stickers

    It’s very effortless to learn any matter on net as
    compared to textbooks, when i found this post around this internet site.

    Look at my website teacher stickers

    Reply
  17. independent VIP Chandigarh call girls

    I got the reference for this website from a friend of mine and let me say that it was the right decision on my side to click with you. The informative blogs that are mentioned over here mean that from now on I will not have any difficulty in getting the precision in the work.

    Reply
  18. cherokeemuseum.org

    Quality content is the main to interest the people to pay a visit the web page, that’s what this web page is providing.

    Reply
  19. dingdongtogel

    Hi there to every single one, it’s really a good for me to visit this web site, it consists of important Information.

    Reply
  20. Jasonhoape

    buy viagra online usa viagra online usa
    where can i buy viagra over the counter

    Reply
  21. Jasonhoape

    when will viagra be generic viagra online usa
    where to buy viagra online

    Reply
  22. Unique X

    Howdy! I realize this is somewhat off-topic but I
    had to ask. Does running a well-established website like yours take
    a massive amount work? I am brand new to operating a blog however
    I do write in my diary daily. I’d like to start a blog so I can share my experience and views online.
    Please let me know if you have any suggestions or tips for new
    aspiring bloggers. Appreciate it!

    Reply
  23. Richardtak

    viagra without a doctor prescription cheap viagra online
    viagra over the counter

    Reply
  24. Terrymic

    website cheap ed pills
    injectable ed drugs

    Reply
  25. Terrymic

    cheap ed pills in mexico buy ed pills
    viagra without a doctor prescription walmart

    Reply
  26. Terrymic

    cheap ed pills from india buy ed drugs
    ed pills online

    Reply
  27. Bangalore escorts

    It’s greatly helpful information. I was looking for such pieces of information. I am surprised how you made it quite simple to understand for me. I will keep reading it in days to come.
    Thanks!

    Reply
  28. m11bet

    It’s amazing designed for me to have a web site, which is
    good designed for my knowledge. thanks admin

    Reply
  29. Michaelsek

    meds from india: best india pharmacy order prescription drugs from india

    Reply
  30. Geraldine

    Hi there, I enjoy reading through your article post. I wanted to
    write a little comment to support you.

    Reply
  31. 0mniartist

    I think that is one of the most significant info for me.
    And i’m happy reading your article. But wanna remark on some normal issues, The web site
    taste is wonderful, the articles is really great : D.

    Just right activity, cheers 0mniartist asmr

    Reply
  32. asmr https://0mniartist.tumblr.com

    I used to be suggested this blog through my cousin. I’m no longer sure
    whether this put up is written by him as nobody else recognize such detailed about
    my problem. You’re amazing! Thanks! asmr 0mniartist

    Reply
  33. asmr https://0mniartist.tumblr.com

    Hi there, its fastidious piece of writing regarding media print, we all be familiar
    with media is a fantastic source of data. 0mniartist asmr

    Reply
  34. tinyurl.com

    Do you have a spam issue on this site; I also am a blogger, and I
    was wanting to know your situation; we have developed some nice
    methods and we are looking to trade solutions with
    other folks, why not shoot me an e-mail if interested.
    asmr 0mniartist

    Reply
  35. Claudhaw

    amoxicillin 30 capsules price: cheap amoxicillin – purchase amoxicillin online without prescription

    Reply
  36. http://tinyurl.com/

    Nice post. I used to be checking continuously this weblog and
    I am inspired! Extremely useful info specifically the
    closing section 🙂 I maintain such information much. I was seeking this particular information for
    a very lengthy time. Thank you and best of luck. asmr 0mniartist

    Reply
  37. Claudhaw

    clomid for sale: clomid for sale – clomiphene generic

    Reply
  38. Claudhaw

    doxycycline without prescription: doxycycline – buy doxycycline 100mg

    Reply
  39. Lenora

    Nice weblog right here! Also your site lots up very fast!
    What web host are you the use of? Can I get your associate hyperlink to your host?
    I desire my web site loaded up as fast as yours lol

    Reply

Submit a Comment

Your email address will not be published. Required fields are marked *

Pin It on Pinterest

Share This